Individual ProviderAlfredo Velasco MartinezDentistDental ProvidersPractice Address3445 Henderson Dr, Jacksonville, NC 28546-5233(910) 347-1283(910) 451-2208PECOS EnrollmentBased on the most recent information from CMS, provider Alfredo Velasco Martinez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:53 PM.Profile DetailsProvider ID1184265563Provider TypeIndividualFull NameMartinez, Alfredo VelascoTitleDr.CredentialDDSGenderMaleSole ProprietorYesEnumeration Date10/7/2019Last Updated6/12/2023Contact InformationPractice LocationPractice Address3445 Henderson Dr, Jacksonville, NC 28546-5233Phone(910) 347-1283Fax(910) 347-2153Mailing LocationMailing AddressCommanding Officer, 2d Denbn/Ndc, Psc 20130 315 Mchugh Blvd, Camp Lejeune, NC 28542-0130Phone(910) 451-2208Fax(910) 451-8479Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense13316North CarolinaCode122300000XDescriptionDentistDental ProvidersLicense104078California